person
Kimberly S Larson, NP
Family Nurse Practitioner in Evanston, Wyoming
NPI 1982614723

Kimberly S Larson is a Family Nurse Practitioner based in Brentwood, WY and is specialized in Family. Kimberly S Larson practices in Evanston, WY and has the professional credentials of NP. The NPI Number for Kimberly S Larson is 1982614723 and holds a License No. 363542-4405 (Wyoming).

The current practice location address for Kimberly S Larson is 170 Arrowhead Dr, Evanston, WY and can be reached out via phone at 307-789-0096 and via fax at 307-789-0860. You can also correspond with Kimberly S Larson through the mailing address at 1573 MALLORY LN, BRENTWOOD, TN - 37027-2895 (mailing address contact number: 615-221-3855).

Location: 170 Arrowhead Dr, Evanston, WY, 37027-2895
person
Provider Profile Details
NPI Number
1982614723
Provider Name
Kimberly S Larson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
170 Arrowhead Dr, Evanston, WY, 37027-2895
Phone Number
307-789-0096
Fax Number
307-789-0860
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
120048800 05 WY
institution
Provider Business Practice Location Address Details
Address
170 Arrowhead Dr
City
State
Zip
82930-9266
Phone Number
307-789-0096
Fax Number
307-789-0860
person
Provider Business Mailing Address Details
Address
170 Arrowhead Dr
City
State
Zip
82930-9266
Phone Number
307-789-0096
Fax Number
307-789-0860
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
363542-4405 (Utah)
Definition
Definition to come...
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